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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-60326

Steffel, J; Hürlimann, D; Namdar, M; Despotovic, D; Kobza, R; Wolber, T; Holzmeister, J; Haegeli, L; Brunckhorst, C; Lüscher, T F; Jenni, R; Duru, F (2011). Long-term follow-up of patients with isolated left ventricular noncompaction: role of electrocardiography in predicting poor outcome. Circulation Journal, 75(7):1728-34.

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Abstract

BACKGROUND:

Abnormal baseline electrocardiograms (ECGs) are common in patients with isolated left ventricular noncompaction (IVNC). Whether certain electrocardiographic parameters are associated with a poor clinical outcome, however, remains elusive. The present study was therefore designed to comprehensively assess the predictive value of baseline ECG findings in patients newly diagnosed with IVNC.
METHODS AND RESULTS:

74 patients diagnosed with IVNC were included in the analysis. During follow-up, 8 patients (11%) died of a cardiovascular cause or underwent heart transplantation (primary outcome measure). On univariate analysis, several variables, including repolarization abnormalities (ST segment elevation/depression, T-wave inversion) in the inferior leads (5-year estimator: 67.1 ± 10.7% vs. 98 ± 2.2%; P = 0.001), an increase in PQ- (hazard ratio (HR) 1.032, P=0.004) and QTc-duration (HR 1.037, P=0.001), were predictive of cardiovascular death or heart transplantation. On multivariate analysis, only PQ- and QTc-duration and the presence of repolarization abnormalities in the inferior leads remained significantly predictive of a poor outcome.
CONCLUSIONS:

PQ duration, QTc duration, and repolarization abnormalities in the inferior leads are independently predictive of a poor prognosis in IVNC. Further prospective studies are required to conclusively investigate the usefulness of baseline ECG parameters for risk stratification in patients with IVNC.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
DDC:610 Medicine & health
Language:English
Date:2011
Deposited On:24 Feb 2012 17:52
Last Modified:09 Dec 2013 03:55
Publisher:Japanese Circulation Society
ISSN:1347-4820
Publisher DOI:10.1253/circj.CJ-10-1217
PubMed ID:21617326
Citations:Web of Science®. Times Cited: 3
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